From Home Rn Periop 101 Program Jobs in Rochester Hills, MI

Registered Nurse (RN) Care Manager

Hybrid Community-Based Role | Wayne County, Michigan

Make a Difference with TANDEM365

Are you an experienced Registered Nurse who wants to use your clinical knowledge beyond the bedside?

TANDEM365 is seeking an RN Care Manager, internally known as an RN Navigator, to support individuals with complex medical, behavioral health, and social needs throughout Wayne County. This role focuses primarily on care coordination, participant education, advocacy, and healthcare navigation, with limited direct clinical care.

You will meet participants in their homes, help them understand and navigate the healthcare system, coordinate with providers and community organizations, and develop person-centered plans that support their health goals and ability to remain safely at home.

What the Hybrid Schedule Looks Like

• Approximately three face-to-face participant visits per field day
• Remote documentation, telephone outreach, and care coordination from home
• Meetings at the Plymouth office two to three times per month
• Travel throughout Wayne County, with the territory shared among the nursing team
• Mileage reimbursement beginning when you leave home

RN Care Managers generally support 35 to 50 participants, with most participants seen face-to-face every four to six weeks, depending on their individual needs.

On-Call Expectations

• After-hours coverage approximately two to three times per month
• Weekend coverage approximately once per quarter
• All on-call responsibilities are completed by telephone from home
• Telephone triage and guidance only
• No in-person or field response required

What You Will Do

• Conduct comprehensive in-home and telephone nursing assessments
• Identify medical, behavioral health, medication, safety, health literacy, and social needs
• Develop and monitor individualized, person-centered plans of care
• Coordinate care with primary care providers, specialists, hospitals, rehabilitation facilities, hospice organizations, and community agencies
• Help participants and families understand diagnoses, medications, treatment recommendations, and follow-up needs
• Provide education tailored to each participant’s goals, readiness, and health literacy
• Support participants during transitions between healthcare settings
• Use motivational interviewing, shared decision-making, and goal-setting strategies
• Advocate for participants and connect them with appropriate healthcare and community resources
• Collaborate with nurses, social workers, community paramedics, medical assistants, providers, and community partners
• Maintain timely and accurate electronic documentation
• Provide limited direct nursing care when appropriate and when other services are unavailable
• Participate in the shared home-based telephone triage rotation

Why Nurses Choose TANDEM365

• Meaningful, relationship-based nursing
• A hybrid community and work-from-home schedule
• Autonomy with interdisciplinary team support
• A manageable caseload that allows for comprehensive care planning
• Individualized orientation, interdisciplinary shadowing, and ongoing leadership support
• Mileage reimbursement beginning when you leave home
• The opportunity to practice clinical assessment, education, advocacy, and care coordination beyond the bedside

Benefits

TANDEM365 offers a comprehensive benefits package, including:

• Medical, dental, and vision insurance
• Flexible paid time off and paid holidays
• 401(k) with employer match
• Life insurance
• Short-term and long-term disability coverage
• Paid orientation and training
• Flexible scheduling
• Mileage reimbursement
• On-call compensation
• Company-provided phone and laptop
• Necessary clinical equipment and supplies

Required Qualifications

• Active and unrestricted Michigan RN license
• Minimum of two years of nursing experience
• Strong clinical assessment, communication, education, and care coordination skills
• Ability to work independently and manage changing priorities
• Comfort using electronic medical records and technology platforms
• Ability to travel throughout Wayne County
• Valid driver’s license, reliable transportation, and required automobile insurance
• Ability to participate in a shared telephone triage rotation

Preferred Qualifications

Experience in one or more of the following areas is helpful but not required:

• Case management or care coordination
• Population health or community-based nursing
• Home care or home health
• Transitional, hospice, or palliative care
• Chronic disease management or behavioral health
• Motivational interviewing and participant education
• Wayne County healthcare and community resources
• Case management certification

We encourage qualified nurses to apply even if they do not meet every preferred qualification. Nurses with strong assessment, education, communication, critical-thinking, and relationship-building skills can be successful in this role.

Who We Are

TANDEM365 is a complex medical case management and community paramedicine program serving individuals with complex medical, behavioral health, and social needs. Our interdisciplinary team works together to improve care coordination, reduce gaps in services, support safe transitions, and help participants remain safely in their homes.

Ready to Make an Impact?

Use your nursing experience to guide participants through complex healthcare needs while building meaningful relationships in the community.

Apply today to join TANDEM365’s interdisciplinary care team.